Individual provider Active NPI

Seyed Mahdi Hosseini Siahkalmahalleh

  • Family Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1861217259
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1172153 Issued in TX
Practice address
12881 N Ih 35
Live Oak, TX 78233-2966
Phone
(210) 742-6555
NPI assigned
Nov 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1172153 TX Primary

Addresses

Primary practice location

12881 N Ih 35
Live Oak, TX 78233-2966

Mailing address

12881 N Ih 35
Live Oak, TX 78233-2966
Phone (210) 742-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304001404 TX Practitioner - Nurse Practitioner 4183145444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12881 Toepperwein Rd
I 35
Live Oak, TX 78233-4115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1172153TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC CurrentSince Feb 1, 2025 Accepting new patients
Complete Care Partners LLC PastSince Jun 15, 2025 Accepting new patients
Heal Well Primary Care PC PastSince Mar 26, 2023 Accepting new patients

Locations

11671 Jollyville Rd
Ste 102
Austin, TX 78759
Phone (210) 463-4000

840 E Redd Rd
Bldg 4
El Paso, TX 79912
Phone (915) 577-9003

1414 Sidney Baker St
Kerrville, TX 78028

2207 Clear Creek Rd
Ste 303
Killeen, TX 76549
Phone (254) 519-8921

2201 S W S Young Dr
Ste 111B
Killeen, TX 76543
Phone (254) 680-3376

1300 Dacy Ln
Kyle, TX 78640
Phone (512) 262-6020

12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

790 Generations Dr
Ste 405
New Braunfels, TX 78130
Phone (210) 767-2549

741 Generations Dr
Ste 215
New Braunfels, TX 78130

3710 Roosevelt Ave
San Antonio, TX 78214

5525 Blanco Rd
Ste 102
San Antonio, TX 78216
Phone (210) 464-6020

3710 Roosevelt Ave
Ste 103
San Antonio, TX 78214

1923 Culebra Rd
San Antonio, TX 78201

2339 E Evans Rd
San Antonio, TX 78259

5000 Baptist Health Dr
Ste 117
Schertz, TX 78154
Phone (210) 626-8201

17766 Verde Pkwy
#150210
Selma, TX 78154

2009 Pat Booker Rd
Universal Cty, TX 78148
Phone (210) 659-4425

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1861217259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINI SIAHKALMAHALLEH",
        "first_name": "SEYED MAHDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1172153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.